Understanding the experiences of persons affected by pressure injuries. A knowledge creation and consensus-building activity

Bridging the gap between discovery and practical application is a persistent challenge in research, especially when addressing complex health issues like pressure injuries. A new CIHR-funded study brings together persons affected by PI, caregivers, researchers, healthcare providers, and other stakeholders in a collaborative network. The goal is to build consensus around lived experiences, identify key challenges and prioritize strategies that can meaningfully improve prevention, management and overall health outcomes related to pressure injuries.


The team conducted 17 interviews and focus groups with people living with pressure injuries, this also included individuals with a spinal cord injury (SCI). Dr. Sharon Gabison, Principal Investigator of this study says, "there were challenges across the persona, interpersonal, organizational, and policy levels, including limited equipment access and inconsistent staffing, but also strong family support and proactive prevention practices. By surveying people with lived experience of pressure injuries and other health problems, we will be able to determine what the most urgent research and intervention priorities are."



Why It Matters


Pressure injuries can be life-threatening even for people with SCI. One example is Sepsis from pressure wounds, which continues to be a leading cause of death in Canada, despite hospital-acquired pressure injuries being labelled as "never events" in Canada.

“The conflict is clear: we know pressure injuries are deadly, yet as a system we haven’t ‘moved the needle’ in reducing them. This project aims to bridge that gap by highlighting what matters most to the people who live with and manage these injuries every day,” says Spring Hawes, Regional PLEX Engagement Liaison, Praxis. As part of this project, Spring contributed lived experience insights, helped design interview questions, and supported the development of the questionnaire.

More than just data, the project has fostered new networks of collaboration across Canada, patients, caregivers, clinicians, and researchers coming together. It has sparked conversations about why good practices aren’t universally adopted, where system breakdowns occur, and how communities can learn from what works well in certain regions.

As the next steps, the data from the survey will be reviewed by the group early next year defining consensus regarding pressure injury prevention and management. As a result, the team will shape the next phase of research, interventions, and policy advocacy.

 


click here to participate in the study


Praxis is pleased to support this project by bringing in the perspective of people living with spinal cord injuries, helping with knowledge translation, and committing to sharing findings more broadly.




This past year, we focused on bringing inclusivity and engagement to the forefront, ensuring that the needs and priorities of persons with lived experience (PLEX) guide our work. As we prepare to welcome the new year, we want to take a moment to reflect on the remarkable progress that continues to make a difference.

At Praxis, we believe that the engagement and inclusion are essential to everything we do. Our efforts have centered on the mentorship and guidance provided by PLEX across all our key areas—innovation, research, cure, and care. This focus shapes both our internal initiatives and our external collaborations. Praxis is about translating knowledge into action, and we understand that, without inclusivity and engagement, we cannot ensure our work is truly meaningful to the SCI community.

This year, we focused on what matters most by:

  • Engaging with experts to support innovation, research and PLEX outreach

  • Empowering PLEX mentorship through our Innovation programs – Praxis SCI Accelerate and SCI Incubate,

  • Ensuring that PLEX voices are heard and represented for larger impact through research and

  • Recognizing and integrating lived experience into every aspect of our work. Read our annual report


A recent article published by Business in Vancouver (BIV) highlights the words of Spring Hawes, Praxis Regional PLEX Engagement Liaison, who shares that we cannot effectively develop solutions for persons with disabilities unless they are actively contributing to them. This philosophy is at the core of Praxis. Our work depends on finding solutions that truly make a difference for those living with spinal cord injury.

As we reflect on the year past, we are filled with gratitude for our partners, the SCI community, and especially those who live with SCI and guide us in this important work. Thank you for your continued support and collaboration. We look forward to working together to make even greater strides in the coming year.

Wishing you all a joyful holiday season and a bright new year ahead.

Bill Barrable
CEO, Praxis

Implementing evidence-based best practices in SCI clinical care ensures maximum functionality and cord recovery with fewer secondary complications following the injury. This in turn translates into a faster and more successful return to the community, leading to a better quality of life.
In British Columbia (BC), there are challenges accessing specialized spinal cord injury care and resources. This paper evaluated the impact of spinal cord injury health educational workshops delivered in regional communities that were informed by persons with lived experience. A community survey was conducted with 44 persons with lived experience in a BC region to identify priority SCI health-related topics. Twenty-five topics were ranked from 1–14, with bowel and bladder management ranked 1 and 4, sexual health ranked 5, and pressure injuries ranked 7.
We are pleased to share this edition published by Frontiers in Neurology. The publication is dedicated to sharing progress in the epidemiology, evidence-based practice, and outcomes of spinal cord injury (SCI). The collection is divided into two parts: the first part describes the epidemiology of SCI, and the second part explores evidence-based approaches to care and patient outcomes. The increasing use of artificial intelligence and analytical methods such as machine learning, is also highlighted.
Maintaining adequate spinal cord perfusion pressure (SCPP), for the circulation of blood to the spinal cord at the time of injury and during recovery improves neurological recovery. Praxis has supported surgeon-scientist Dr. Brian Kwon and his team at the University of British Columbia (UBC) as they lead research on personalizing SCPP management to each SCI patient’s need.
The Praxis-AO Spine Acute SCI Guidelines make sure that best practices in care are available widely, to standardize SCI care across B.C., Canada, and internationally. Developed in part from Praxis-supported and B.C.-based research, the guidelines present best practices at the clinician’s fingertips, and will become part of the Canadian Spinal Cord Injury Practice (Can-SCIP) Guideline.
Published in 2023, The RHSCIR network report is a detailed look at clinical and demographic data collected from 682 tSCI and 466 ntSCI new RHSCIR participants. RHSCIR captures 60-70% of all acute tSCI in Canada when compared to other national data sources. In this report, you will find information about the type of injury, patient demographics, care pathway, length of hospital stay, secondary complications and social impacts after spinal cord injur
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